Subverting the Assembly Line : Childbirth in a Free Standing Birth Centre  

Oleh:

Walsh, Denis

Jenis: Article from Journal - ilmiah internasional
Dalam koleksi: Social Science & Medicine (www.elsevier.com/locate/sosscimed) vol. 62 no. 6 (Mar. 2006), page 1330-1340.
Topik: ETHNOGRAPHY; UK; ethnography; birth centre; fordism; taylorism; post bureaucratic

Ketersediaan

Perpustakaan Pusat (Semanggi) Nomor Panggil: SS53.2 Non-tandon: 1 (dapat dipinjam: 0) Tandon: tidak ada

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Isi artikel

Across the world, concern is being expressed about the rising rates of birth interventions. As a result, there is growing interest in alternative organisational models of amternity care. Most of the research to date on these models has examined clinical outcomes. This paper discussing key findings from an ethnographic study of a free standing birth centre in the UK, explores organisational dimensions to care. It suggests that the advantages of scale have been under recognised by policy makers to date. The birth centre displays organisational characteristics that contrast with the dominant fordist / taylorist model of large maternity untis. These characteristics allow for greater temporal flexibility in labour care and tend to provilege relational, being care over task orientated doing care. In addition, features of a bureaucracy are much less in evidence, enabling entrepreneurial activity to fluorish. There may be lessons here for other health services as well as maternity services in optimising the advantages of small scale provision.

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